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18F-FLT-PET/CT Imaging

Phase 2

Breast Cancer | Unknown | Oncology |Merck & Company, Inc.|Last Updated: Feb 11, 2021

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Trial Design

UNCONTROLLED
Total Trials1
Total Enrollment46

FDA Designations

No designations recorded

Clinical trial landscape

18F-FLT-PET/CT Imaging · 1 trial · 1 indication

Phase 2 1
NCT0101513118F-FLT-PET in Breast Cancer (MK-0000-139)Breast Cancer
COMPLETED46 Analytics
PHASE2COMPLETED
18F-FLT-PET in Breast Cancer (MK-0000-139)
Breast CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in 18F-FLT-PET Mean Standardized Uptake Value (SUVmean) After the First Cycle of Standard of Care (SOC) Neo-adjuvant Chemotherapy.
Baseline and up to 3 weeks

Participants undergo a baseline 18F-FLT-PET/CT scan followed by a magnetic resonance imaging (MRI) scan prior to chemotherapy. These scans are repeated in approximately 2 to 3 weeks, at the end of the first cycle of chemotherapy to derive a standardized uptake value (SUV) of 18F-FLT, which is calculated from the ratio of radioactivity concentration within a region of interest, and the injected dose at the time of injection, divided by body weight. The SUVmean averages the radioactivity values within a region of interest.

Change From Baseline in 18F-FLT-PET Maximum Standardized Uptake Value (SUVmax) After the First Cycle of SOC Neo-adjuvant Chemotherapy.
Baseline and up to 3 weeks

Participants undergo a baseline 18F-FLT-PET/CT scan followed by a magnetic resonance imaging (MRI) scan prior to chemotherapy. These scans are repeated in approximately 2 to 3 weeks, at the end of the first cycle of chemotherapy to derive a standardized uptake value (SUV) of 18F-FLT, which is calculated from the ratio of tissue radioactivity concentration within a region of interest, and the injected dose at the time of injection, divided by body weight. The SUVmax measures the maximum radioactivity values within a region of interest.

Change From Baseline in Ki-67 Labeling Index After the First Cycle of SOC Neo-adjuvant Chemotherapy.
Baseline and up to 3 weeks

Core needle biopsies (CNB) are obtained after completing imaging studies at baseline and approximately 2 to 3 weeks later, after the first cycle of chemotherapy. These tissue samples are then used to measure expression of the cell proliferation marker Ki-67, by manually counting percentage positive immunostained cells, denoted the labeling index (LI).

Spearman's Rank Correlation Coefficient Between Change From Baseline in Ki-67 Labeling Index and Change From Baseline in SUVmean After the First Cycle of SOC Neo-adjuvant Chemotherapy.
Baseline and up to 3 weeks

The Spearman's rank correlation coefficient was computed by ranking the data and using the ranks in the Pearson product-moment correlation formula. In case of ties, the averaged ranks were used.

Spearman's Rank Correlation Coefficient Between Change From Baseline in Ki-67 Labeling Index and Change From Baseline in SUVmax After the First Cycle of SOC Neo-adjuvant Chemotherapy.
Baseline and up to 3 weeks

The Spearman's rank correlation coefficient was computed by ranking the data and using the ranks in the Pearson product-moment correlation formula. In case of ties, the averaged ranks were used.

Secondary Endpoints

Change From Baseline in Proliferation Signature Score (PSS) After the First Cycle of SOC Neo-adjuvant Chemotherapy.
Baseline and up to 3 weeks
Change From Baseline in Tumor Volume at the End of SOC Neo-adjuvant Chemotherapy.
Baseline and up to 30 weeks
Spearman's Rank Correlation Coefficient Between Change From Baseline in PSS After the First Cycle of SOC Neo-adjuvant Chemotherapy, and Change From Baseline in Tumor Volume at the End of SOC Neo-adjuvant Chemotherapy.
Baseline and up to 30 weeks
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeDIAGNOSTIC

Treatment Arms

ArmTypeDescription
All ParticipantsEXPERIMENTAL18F-FLT-PET imaging

Interventions

NameTypeDescription
18F-FLT-PET/CT ImagingRADIATIONParticipants receive the investigational radiotracer 18F-FLT intravenously and undergo Positron Emission Tomography (PET)/Computed Tomography (CT) scans at the following three times: prior to initiation of chemotherapy, at the end of the first cycle of treatment, and at the conclusion of chemotherapy.
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Eligibility Criteria

Age Range35 Years to 75 Years
SexFEMALE
Healthy VolunteersNo

Inclusion Criteria: * Has newly-diagnosed stage IIB/IIIA/IIIB locally advanced breast cancer * Is eligible for pre-operative (neo-adjuvant) chemotherapy Exclusion Criteria: * Has a contraindication to magnetic resonance imaging (MRI) * Any condition that would limit ability to undergo MRI or PET ...

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Competitive Landscape -Breast Cancer 402 trials

Top 20 of 92 competitors

CompanyTickerTrialsLead PhaseDrugs
AstraZeneca PLCAZN47PHASE3Fulvestrant, Capivasertib
Merck & Co., Inc.MRK12PHASE3Pembrolizumab, Paclitaxel, Doxorubicin, Epirubicin, Cyclophosphamide
Eli Lilly and CompanyLLY27PHASE3Abemaciclib, Standard Adjuvant Endocrine Therapy
BioNTech SE Sponsored ADRBNTX7PHASE3DB-1303/BNT323, T-DM1
Gilead Sciences, Inc.GILD13PHASE3Sacituzumab Govitecan-hziy, Eribulin, Capecitabine Product, Gemcitabine, Vinorelbine
Novartis AG Sponsored ADRNVS30PHASE3Ribociclib
Pfizer Inc.PFE34PHASE3ARV-471, Fulvestrant
BeOne Medicines Ltd. Sponsored ADRONC5PHASE3BGB-43395, Letrozole, Abemaciclib, Palbociclib, Ribociclib
Olema Pharmaceuticals, Inc.OLMA5PHASE3Palazestrant, Fulvestrant, Anastrozole, Letrozole, Exemestane
Jazz Pharmaceuticals Public Limited CompanyJAZZ3PHASE3Zanidatamab, Trastuzumab, Eribulin, Vinorelbine, Gemcitabine
Celcuity Inc.CELC3PHASE3Gedatolisib, Palbociclib, Fulvestrant, Alpelisib
Relay Therapeutics, Inc.RLAY2PHASE3Zovegalisib, Capivasertib, Fulvestrant
GSK plc Sponsored ADRGSK2PHASE3Niraparib
Greenwich LifeSciences, Inc.GLSI1PHASE3GLSI-100
Bristol-Myers Squibb CompanyBMY5PHASE2Iza-bren, Nab-paclitaxel, Paclitaxel, Capecitabine, Carboplatin
BriaCell Therapeutics CorpBCTX2PHASE3SV-BR-1-GM, Cyclophosphamide, Interferon infiltration of the inoculation site, Retifanlimab, Treatment of Physician's Choice
Incyte CorporationINCY4PHASE2Ruxolitinib, Capecitabine, Regorafenib
Natera, Inc.NTRA3PHASE2Discontinuation of the anti-HER2 maintenance therapy
Puma Biotechnology, Inc.PBYI3PHASE2Neratinib, Loperamide, Colesevelam
Atossa Therapeutics, Inc.ATOS1PHASE2endoxifen, goserelin
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Frequently asked questions about 18F-FLT-PET/CT Imaging

What is 18F-FLT-PET/CT Imaging used for in breast cancer?

18F-FLT-PET/CT Imaging is an investigational imaging technique being studied for use in breast cancer. It is a positron emission tomography (PET) imaging method that uses a radioactive tracer called 18F-FLT to visualize cellular proliferation. The imaging is being evaluated in a clinical trial to assess its potential role in breast cancer.

Who is developing 18F-FLT-PET/CT Imaging?

18F-FLT-PET/CT Imaging is being developed by Merck & Company, Inc., a pharmaceutical company traded on the New York Stock Exchange under the ticker symbol MRK. The company is conducting clinical research to evaluate this imaging technique in the context of breast cancer.

What phase is 18F-FLT-PET/CT Imaging in?

18F-FLT-PET/CT Imaging is in Phase 2 clinical development. It is an investigational imaging agent and has not been approved by regulatory authorities. The Phase 2 trial has been completed, and the imaging technique remains under investigation for its potential use in breast cancer.

What clinical trials is 18F-FLT-PET/CT Imaging in?

18F-FLT-PET/CT Imaging has been studied in one completed clinical trial, identified as NCT01015131, titled '18F-FLT-PET in Breast Cancer (MK-0000-139)'. This Phase 2 trial enrolled 46 female participants aged 35 years and older with breast cancer. The trial was uncontrolled and not randomized or double-blinded.

Is 18F-FLT-PET/CT Imaging FDA approved?

18F-FLT-PET/CT Imaging is not FDA approved. It is an investigational imaging technique currently in clinical development. The completed Phase 2 trial (NCT01015131) evaluated its use in breast cancer, but regulatory approval has not been granted. The imaging agent remains under investigation.